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首页> 外文期刊>The Southeast Asian journal of tropical medicine and public health >SUBARACHNOID HEMORRHAGE DUE TO VASCULAR CAUSES AND GNATHOSTOMIASIS: CLINICAL FEATURES AND LABORATORY FINDINGS
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SUBARACHNOID HEMORRHAGE DUE TO VASCULAR CAUSES AND GNATHOSTOMIASIS: CLINICAL FEATURES AND LABORATORY FINDINGS

机译：血管性原因和鼻咽炎引起的蛛网膜下腔出血：临床特点和实验室检查结果

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摘要

Subarachnoid hemorrhage (SAH) is a serious neurological condition, commonly of vascular etiology. Gnathostomiasis is a common parasitic disease in Thailand and may also cause SAH. The purpose of this study was to find clinical differences between SAH due to these two causes. This was a retrospective study and collected data from medical charts of patients diagnosed with SAH at Srinagarind Hospital, Khon Kaen, during 2009 and 2011. SAH due to vascular causes was diagnosed by cerebral angiogram, while cerebral gnathostomiasis, in which cerebral angiograms were negative, was diagnosed immunologically. Differences in clinical features between the two groups were compared using descriptive statistics. Eighteen patients had SAH due to vascular causes and ten had gnathostomiasis. Most parameters were similar between the two groups. However, the cerebrospinal fluid glucose/plasma glucose ratio in the gnathostomiasis group was significantly higher than in the vascular group (80% vs 16.67%, respectively). In conclusion, cerebrospinal fluid glucose/plasma glucose ratio was significantly higher in SAH patients caused by gnathostomiasis than vascular group and may provide a diagnostic tool for distinguishing between these two etiologies.
机译：蛛网膜下腔出血（SAH）是一种严重的神经系统疾病，通常是血管病因引起的。鼻角虫病是泰国常见的寄生虫病，也可能引起SAH。这项研究的目的是发现由于这两种原因引起的SAH之间的临床差异。这是一项回顾性研究，从2009年至2011年期间在孔敬的Srinagarind医院诊断为SAH的患者的病历表中收集了数据。由于血管原因导致的SAH通过脑血管造影诊断，而脑破口术则诊断为脑血管造影阴性，被免疫诊断。使用描述性统计数据比较两组之间的临床特征差异。因血管原因而发生SAH的患者为18例，因鼻咽峡口病的患者为10​​例。两组之间的大多数参数相似。然而，鼻息肉病组的脑脊液葡萄糖/血浆葡萄糖比率显着高于血管组（分别为80％和16.67％）。综上所述，因鼻咽口峡病引起的SAH患者的脑脊液葡萄糖/血浆葡萄糖比率明显高于血管组，可能为区分这两种病因提供了诊断工具。

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